Individual
MR. IVAN BENJAMIN GELLER
Active
Individual
MR. IVAN BENJAMIN GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25075
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25075
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01250752
—
CO
01
—
CU0583
RRW MEDICARE
CO
Enumeration date
08/24/2006
Last updated
10/16/2012
Update your record
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